Entity Name: | NEW MED MD, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 14 Sep 2001 (23 years ago) |
Document Number: | P01000090459 |
FEI/EIN Number | 651140750 |
Address: | 9228 Equus Circle, Boynton Beach, FL, 33472, US |
Mail Address: | 9228 Equus Circle, Boynton Beach, FL, 33472, US |
ZIP code: | 33472 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922541994 | 2016-11-23 | 2016-11-23 | 2015 OCEAN DR, STE 11, BOYNTON BEACH, FL, 334265131, US | 2015 OCEAN DR, STE 11, BOYNTON BEACH, FL, 334265131, US | |||||||||||||||
|
Phone | +1 561-364-8056 |
Fax | 5613648507 |
Authorized person
Name | MARTHA M RODRIGUEZ |
Role | OWNER |
Phone | 5613648056 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
RODRIGUEZ MARTHA M | Agent | 9228 Equus Circle, Boynton Beach, FL, 33472 |
Name | Role | Address |
---|---|---|
Martha Rodriguez MARTHA M | President | 9228 Equus Circle, Boynton Beach, FL, 33472 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
REVOCATION OF VOLUNTARY DISSOLUT | 2015-09-11 | No data | No data |
VOLUNTARY DISSOLUTION | 2015-07-27 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State